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KUALITAS TIDUR DAN FAKTOR-FAKTOR GANGGUAN TIDUR KLIEN LANJUT USIA YANG DIRAWAT INAP DI RUANG PENYAKIT DALAM RUMAH SAKIT, MEDAN 2003 Evi Karota Bukit
Jurnal Keperawatan Indonesia Vol 9 No 2 (2005): September
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v9i2.159

AbstrakPenelitian deskriptif ini bertujuan untuk mengeksplorasi kualitas tidur dan faktor-faktor gangguan tidur klien lanjut usia yang dirawat di ruang penyakit dalam. Seratus klien sesuai dengan kriteria diambil sebagai sampel dari 2 rumah sakit di Medan. Penelitian menggunakan kuisioner dengan wawancara terstruktur meliputi personal data, informasi kesehatan, riwayat tidur di rumah, kualitas tidur, dan faktor yang mempengaruhi gangguan tidur di rumah sakit. Mayoritas klien memulai tidur >60 menit (57%), total jam tidur malam <5 jam (62%), frekuensi terbangun tiga kali atau lebih (80%), tidur tidak nyenyak (55%), tidak puas terhadap tidur (51%), tidak merasa segar bangun pagi (52%), merasa lelah dan mengantuk siang hari (46%). Mayoritas klien (77%) melaporkan kualitas tidur mereka buruk di rumah sakit. Analisis paired t-test menunjukkan ada perbedaan signifikan antara kualitas tidur klien di rumah dengan di rumah sakit (p < 0.001). Faktor-faktor gangguan tidur selama perawatan di rumah sakit adalah faktor fisiologis, rutinitas tindakan perawat, lingkungan, dan psikologis. Dari faktor fisiologis, yang menyebabkan gangguan tidur tingkat tinggi adalah nyeri, sesak napas, dan batuk. Mayoritas klien mempersepsikan rutinitas tindakan perawat di malam hari umumnya hanya gangguan tidur ringan, termasuk tindakan perawat terhadap klien lain, mengukur tanda vital, dan memberikan obat. Selanjutnya, faktor lingkungan yang mengganggu tidur klien pada tingkat ringan-sedang yaitu suara bising dari berbagai sumber, suhu ruangan panas, dan lampu terlalu terang. Faktor psikososial menunjukkan 24% klien mengalami cemas dan 43% depresi. Hasil penelitian ini menunjukkan kualitas tidur klien buruk selama dirawat di rumah sakit. Untuk itu perawat perlu memberikan perhatian khusus kepada klien dengan gejala penyakit tertentu, keluhan rasa tidak nyaman, gangguan lingkungan, cemas, depresi, dan juga memberikan tindakan keperawatan untuk mengeliminasi faktor-faktor tersebut.Â Abstract:This descriptive study is aimed to explore sleep quality of elderly during hospitalization and describe factors perceived by hospitalized elderly as sleep interference. One hundred elderly clients who met the inclusion criteria were recruited from medical wards of two hospitals in Medan. Subjectâ€™s personal data, health information, sleep history, sleep quality, and factors interfering with sleep were obtained by structured interview. The majority of subjects reported experiencing sleep latency > 60 minutes (57%), total sleep time less than 5 hours (62%), awakening three times or more (80%), very shallow sleep (55%), not at all satisfied with sleep (51%), not feeling refreshed in the morning (52%), and feeling fatigued and sleepy during the daytime (46%). Moreover, 77% of the clients considered their sleep as poor. In addition, paired t-test analysis revealed that the sleep quality of the clients during hospitalization and at home were significantly different (p < .001). Factors interfering with sleep during hospitalization included physiological, routine nursing interventions, environmental, psychological factors. The most prevalent and highest level sleep interference in physiological factors were caused by pain, dyspnea, cough. The majority of clients perceived that routine nursing interventions, checking vital signs, nurses attending to other clients, and giving treatments interfered with their sleep at a low level of sleep interference. Likewise, environmental factors including noise from all sources, hot room temperature, and bright light were commonly reported as sleep interference at the low and moderate level. In psychological factors, 24% of the subjects experienced anxiety, while 43% reported depression. The results study found that sleep quality of the subject was poorer during hospitalization. Thus, nurses should pay more attention to the clients having symptom of diseases, discomfort, environment disturbances, anxiety, depression and also give interventions to eliminate these factors.

PERBEDAAN TERAPI BACK MASSAGE DAN AKUPRESUR TERHADAP KUALITAS TIDUR PASIEN HEMODIALISA DI RUMAH SAKIT UMUM LANGSA Mailisna .; Sutomo Kasiman; Evi Karota Bukit
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 1, No 3 (2016)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

ABSTRAKTujuan penelitian: mengetahui perbedaan terapi back massage dan akupresur terhadap kualitastidur pasien hemodialisa di Rumah Sakit Umum Langsa. Metode: Jenis penelitian yang digunakanialah kuasi eksperimen dengan pretest dan posttest pada dua kelompok (two group pretest danposttest desain). Populasi pada penelitian ini berjumlah 88 orang yang menjalankan hemodialisarutin. Jumlah sampel sebanyak 66 orang (33 responden dilakukan terapi back massage danakupresur) yang diperoleh dengan menggunakan teknik non probability sampling jenis consecutivesampling. Pengumpulan data menggunakan kuesioner kualitas tidur dengan skor 0–21. Analisisbivariat menggunakan uji paired t test dengan derajat kemaknaan α (0.05). Hasil: Hasil penelitianmenunjukkan tidak terdapat perbedaan yang signifi kan hasil skor kualitas tidur di antara therapy backmassage dan akupresur dengan nilai p=0.575(>0.001). Penelitian ini menunjukkan ada peningkatankualitas tidur pasien hemodialisa setelah dilakukan intervensi. Kesimpulan: Terapi back massagedan akupresur dapat dijadikan sebagai tindakan terapi komplementer yang dapat diaplikasikansebagai upaya peningkatan kualitas tidur pasien hemodialisa.Kata Kunci: terapi back massage, akupresur, kualitas tidur, hemodialisaThe Difference between Back Massage Therapy and Acupressure on Quality of Sleep inHemodialysis Patients at General Hospital of LangsaABSTRACTObjective: This study aims at identifying the difference between back massage and acupressuretherapy on quality of sleep in hemodialysis patients at General Hospital of Langsa. Methods: Itemployed a quasi-experimental method with two-group pretest-posttest design. The population was88 patients who received hemodialysis routinely. A sample size was 66, consisting of 33 receivingback massage and 33 receiving acupressure and taken using non-probability sampling design, i.e.consecutive sampling. Data were collected using questionnaires concerning the quality of sleep witha score of 0-21 and analyzed using bivariate analysis with paired t-test at α (0.05). Results: Theresults of the study indicated that there was the difference in the quality of sleep before and afterback massage therapy and acupressure with p-value=0.575 (>0.001). It was also found that therewas the increase in the quality of sleep in hemodialysis patients after the intervention. Conclusion:Back massage and acupressure therapy can used as a complementary therapy which can appliedas the therapy for improving the quality of sleep in hemodialysis patients.Keywords: Back Massage Therapy, Acupressure, Quality of Sleep, Hemodialysis.

Effectiveness of the Ayah ASI Group Education on the Self-efficacy of Pregnant Women in Providing Exclusive Breastfeeding Saima Putri Siregar; Evi Karota Bukit; Farida Linda Sari Siregar
STRADA : Jurnal Ilmiah Kesehatan Vol. 13 No. 2 (2024): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v13i2.1119

The success of exclusive breastfeeding is related to self-efficacy, the mother's belief in her ability to provide exclusive breastfeeding is getting better, and the support ofher husband plays an important role in increasing the mother's self-efficacy. The purpose of this study was to analyze the effectiveness of Ayah ASI group education on pregnant women's self-efficacy in breastfeeding plans. The method used was a quasi experimental non-equivalent with control group pretest-posttest intervention. The sample consisted of 27 respondents in the intervention group at the clinic of Neri midwife clinic and 27 respondents in the control group at Pratama Niar clinic with consecutive sampling technique. The intervention was given in theform of “Ayah ASI” education for three weeks.

Efektivitas Interprofessional Education Terhadap Pengembangan Kompetensi Kolaboratif Mahasiswa Kesehatan: Literature Review Siti Zahara Nasution; Nur Hanifah; Evi Karota Bukit; Rika Endah Nurhidayah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.842

Background: The increasing complexity of modern healthcare systems necessitates effective collaboration among healthcare professionals to ensure high-quality, safe, and patient-centered care. In this context, Interprofessional Education (IPE) has emerged as a strategic educational approach aimed at preparing healthcare students with the collaborative competencies required for interprofessional practice. Although numerous studies have reported the benefits of IPE implementation, a comprehensive review is needed to synthesize current evidence regarding its effectiveness in developing collaborative competencies among healthcare students. Objective: This literature review aimed to analyze and synthesize recent evidence on the effectiveness of Interprofessional Education in enhancing collaborative competencies among healthcare students. Methods: This study employed a descriptive literature review approach. Articles were retrieved from Google Scholar, PubMed, ScienceDirect, BMC, and JPKI databases using keywords related to Interprofessional Education, Interprofessional Collaboration, collaborative competence, interprofessional communication, teamwork, and patient-centered care. Article selection followed the PRISMA guidelines. Inclusion criteria included full-text articles published between 2021 and 2025 that examined the implementation of IPE or IPC among healthcare students or healthcare professionals. Of the 100 articles initially identified, 10 studies met the eligibility criteria and were included in the final analysis. Results: The findings demonstrated that the implementation of IPE significantly contributed to improving students’ readiness for interprofessional collaboration, interprofessional communication skills, teamwork effectiveness, understanding of professional roles and responsibilities, and overall collaborative competencies. Furthermore, IPE was found to enhance clinical skills and support the delivery of patient-centered care. However, the effectiveness of IPE implementation was influenced by several factors, including organizational culture, professional stereotypes, hierarchical structures, curriculum readiness, and institutional support within educational and healthcare settings. Conclusion: Interprofessional Education is an effective educational approach for fostering collaborative competencies among healthcare students. Therefore, the systematic, structured, and sustainable integration of IPE into healthcare education curricula is essential to prepare future healthcare professionals who can work collaboratively, improve healthcare quality, and contribute to safe, patient-centered care.

Peran Interprofesional Education Dalam Pengembangan Kompetensi Mahasiswa Keperawatan: Literature Review Siti Zahara Nasution; Shofi Auliya Sari Nasution; Evi Karota Bukit; Rika Endah Nurhidayah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.843

Introduction: Interprofessional Education (IPE) is an important learning approach in nursing education because healthcare services require effective interprofessional collaboration. Nursing students need to be prepared during their education to communicate effectively, understand the roles of other professions, work in teams, and provide patient-centered care. This study aims to examine the role of IPE in developing collaborative competence among nursing students. Methods: This study used a systematic literature review method based on the PRISMA flow. Articles were searched through Google Scholar, PubMed, ScienceDirect, BMC, and Springer. The inclusion criteria were articles published from 2021 onward, available in full text, written in Indonesian or English, primary research articles, discussing IPE, involving nursing students or health students with nursing student participation, and having outcomes related to collaborative competence. Data were extracted using a matrix table and analyzed using a descriptive narrative approach to compare study characteristics, types of interventions, instruments, and main findings. Results: A total of 10 articles were analyzed, consisting of 5 Indonesian articles and 5 international articles. The findings showed that IPE had a positive role in improving interprofessional communication, teamwork, understanding of roles and responsibilities, conflict management, team functioning, readiness for interprofessional learning, and collaborative competence. Active learning methods such as interprofessional simulation, role play, case studies, cross-professional programs, and service-learning provided students with direct experiences to collaborate, reflect on professional roles, and make shared decisions in clinical learning situations. Conclusion: IPE plays an important role in developing collaborative competence among nursing students. The structured implementation of IPE in the nursing curriculum is needed to prepare students for clinical practice and to work effectively in complex, safe, and patient-centered interprofessional teams.

Pendidikan Keperawatan Dan Interprofessional Education Dalam Meningkatkan Kompetensi Kolaboratif Tenaga Kesehatan: Literatur Review Siti Zahara Nasution; Oasenea Melliany; Evi Karota Bukit; Rika Endah Nurhidayah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.844

Background: Modern nursing education requires not only clinical competence but also interprofessional collaborative skills. A lack of collaboration among healthcare professionals can reduce the quality of healthcare services and compromise patient safety. Interprofessional Education (IPE) is implemented to develop teamwork skills and enhance understanding of professional roles during the educational process. Objective: This study aimed to analyze the effectiveness of Interprofessional Education (IPE)-based nursing education in improving the collaborative competencies of healthcare professionals. Methods: This study employed a systematic literature review using the PRISMA approach. Literature was obtained from Google Scholar, PubMed, and ScienceDirect databases published between 2020 and 2024 and selected based on relevance and quality criteria. Of the 50 identified articles, 10 articles were included and analyzed descriptively to assess the effectiveness of IPE in improving the collaborative competencies of healthcare professionals. Results: The findings showed that IPE effectively improves communication, teamwork, understanding of professional roles, and patient safety. Learning methods such as clinical simulation, blended learning, and interprofessional discussions support the development of collaborative competencies. However, its implementation is still challenged by curriculum limitations, institutional readiness, and the need for educator training. Conclusion: Interprofessional Education (IPE) is an effective and relevant strategy in nursing education for enhancing collaborative competencies and improving the quality of holistic healthcare services.

Literature Review Implementasi Interprofessional Education (IPE) Dan Interprofessional Collaboration (IPC) Di SMK Kesehatan: Peluang Dan Strategi Kolaborasi Interprofesi Dalam Lingkungan Pendidikan Kejuruan Kesehatan Siti Zahara Nasution; Sovie Ramadhanty Silalahi; Evi Karota Bukit; Rika Endah Nurhidayah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.845

Interprofessional Education (IPE) and Interprofessional Collaboration (IPC) are two major pillars of modern health workforce education reform recommended by the World Health Organization since 2010. Although their implementation has rapidly developed in higher health education institutions, the application of IPE and IPC in Indonesian Vocational High Schools of Health (SMK Kesehatan) remains limited. This literature review examines the concepts, theoretical foundations, empirical evidence, barriers, opportunities, and implementation strategies of IPE and IPC within the context of SMK Kesehatan. The method used was a narrative literature review by analyzing articles from PubMed, Cochrane, CINAHL, Springer, Google Scholar, and SINTA databases published between 2010 and 2024. The findings indicate that IPE has been proven to improve collaborative competencies, interprofessional communication, and students’ work readiness. SMK Kesehatan possesses significant strategic opportunities to integrate IPE through the diversity of health-related study programs within one institution, practice-oriented learning approaches, and partnerships with healthcare facilities. The major barriers include curriculum fragmentation, limited availability of IPE facilitators, and differences in professional identity. Recommended strategies include integrating IPE into the Merdeka Curriculum, establishing cross-disciplinary facilitator teams, and developing interprofessional simulation modules based on clinical contexts.

Efektivitas Pembelajaran Berbasis Virtual Reality Dibandingkan Pembelajaran Tatap Muka Dalam Meningkatkan Keterampilan Klinis Mahasiswa Keperawatan: Literatur Review Siti Zahara Nasution; Ulfah Salwani; Evi Karota Bukit; Rika Endah Nurhidayah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.869

Introduction : The advancement of technology in the field of education has encouraged the utilization of Virtual Reality (VR) as an innovative learning method, particularly in nursing education. Objective: This study aims to analyze the effectiveness of VR-based learning compared to conventional methods in improving the clinical skills of nursing students. Methods: This study employed a literature review approach based on PRISMA guidelines, with article searches conducted through PubMed and SINTA databases within the publication period of 2021–2026. A total of 10 journals that met the inclusion criteria were analyzed in this study. Results: The findings indicate that the use of VR significantly improves clinical skills, knowledge, self-efficacy, and professional attitudes of nursing students. In addition, VR provides a more interactive and immersive learning experience, which enhances understanding and information retention compared to conventional learning methods. When compared to face-to-face learning, VR demonstrates equivalent or even superior effectiveness in certain aspects, such as reducing stress levels and increasing learning engagement. However, the combination of VR and conventional methods (blended learning) produces the most optimal outcomes. Conclusion: VR-based learning is an effective and innovative approach in nursing education with great potential to enhance students’ clinical competencies. Therefore, the integration of VR into the nursing education curriculum is highly recommended to support more modern and high-quality learning processes.

Efektivitas Pembelajaran E-Learning Berbasis Teknologi Digital Terhadap Peningkatan Kompetensi Mahasiswa Keperawatan: A Literature Review Siti Zahara Nasution; Adelina Rizki Wardani Rangkuti; Evi Karota Bukit; Rika Endah Nurhidayah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.870

Introduction: The rapid advancement of information and communication technology has driven a major transformation in global nursing education systems. E-learning represents a learning approach that opens new opportunities for teaching and learning processes across various educational sectors beyond the conventional classroom setting. Nursing education demands comprehensive competency acquisition, encompassing cognitive, psychomotor, and affective dimensions. The acceleration of e-learning adoption became particularly evident during the Covid-19 pandemic, which forced all educational institutions to shift massively to online learning. This study aims to identify and analyze the effectiveness of e-learning on improving the competencies of nursing students. Methods: This study employed a literature review design using a systematic approach guided by the PRISMA framework. Articles were searched from three primary databases, ScienceDirect, PubMed, and Google Scholar covering publications from 2022 to 2026. Based on predetermined inclusion criteria, 10 primary articles were selected for data extraction and synthesis. Results: The review findings indicate that various digital technology-based e-learning platforms have been widely utilized in nursing education, including mobile- and multimedia-based competency evaluation systems, virtual simulation, online learning, immersive virtual reality (VR), LMS-based mobile learning, online cooperative learning methods, and Online Peer Assisted Learning (OPAL). Conclusion: The findings of this literature review indicate that digital technology-based e-learning is effective in enhancing the cognitive competencies of nursing students through flexible and self-directed access to learning materials.

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